Organization
BREAKING HABITS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARRETT SCRIVNER (FOUNDER)
(480) 250-8694
Entity
Organization
Contact information
Practice address
18435 W PALO VERDE AVE, WADDELL, AZ 85355-4331
(480) 250-8694
Mailing address
18435 W PALO VERDE AVE, WADDELL, AZ 85355-4331
(480) 250-8694
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM2800X
Methadone Clinic
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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